City of Eugene <br /> Public Works Maintenance <br /> Public Works Parks and Open Space <br /> 1820 Roosevelt Boulevard <br /> Eugene, OR 97402 Eugene <br /> Tele # (541) 682 -4800 <br /> Fax # (541) 682 -4882 <br /> RECEIPT <br /> '7 <br /> Date /2Z/1 <br /> From /�P�S <br /> Address 3 ` ,€d <br /> � �1 7�61 s <br /> City /State /Zip C� � •Qc5 g6/7 <br /> Quantity Description Amount <br /> gr Affilein)077 5 6ej <br /> ,4QIV /3/-- g650- 457( <br /> TOTAL w i / 4,a <br /> Payment: ❑ Cash sC'G # / Z/ ❑ Credit Card <br /> Received by MY& LeUiVerl-r <br />